her monthly medicare premium is $115. her wealthier neighbors already pay up to $254 more per honesty because they make more than $58,000 a year. new changes could make them pay even more. since nearly every senior is or will use medicare, these changes could affect tens of millions of people. >> what happens if we go off the fiscal cliff? >> it comes to the white coats, the doctors. that's one thing to watch here. because the doctors, the money they get from medicare, that could go down almost 30%. the result, fitch says medicare recipients would have even lower access to doctors, hospitals, and the industry overall would also see a severe negative effect as money coming into the industry, that goes down. this is the number of medicare recipients they expect to thk by some 20 million in the next decade. >> and we heard from chris van hollen, he is against raising the age of eligibility. so lots still to be decided. but thanks for helping us with that. that will wrap up this hour of jansing and company. thomas roberts is